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Individual

DR. JEROLD SCHWARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
84 WOODLAND PARK DRIVE, TENAFLY, NJ 07670
(201) 567-9616
Mailing address
84 WOODLAND PARK DRIVE, TENAFLY, NJ 07670
(201) 567-9616

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
079719
NY
207L00000X
Anesthesiology Physician
20747
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00368061
NY
Enumeration date
05/29/2008
Last updated
05/29/2008
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